Aspirin for the Prevention of Cardiovascular Disease:
A 57-year-old woman with high-normal blood pressure and no known cardiovascular disease fears that she will have a stroke because her mother died of ischemic stroke at the age of 79. The patient does not smoke, but she consumes 4-5 cups of coffee a day and usually drinks wine with dinner. She describes a history of dyspepsia and heartburn, for which she regularly takes over-the-counter famotidine. Her physician advised that she undergo endoscopy, but she refused because of the expense.